Revenue Cycle Specialist III

Job Summary

As a full-time remote Revenue Cycle Specialist III Refund Analyst, the successful candidate will manage the research, analysis, reconciliation, and resolution of credit balances within patient and insurance accounts, ensuring accurate financial records and timely refund processing.

Key responsibilities

• Review and resolve credit balances on patient and insurance accounts to maintain accurate account balances and financial reporting
• Analyze account histories and payment transactions to identify root causes of credit balances and determine appropriate resolutions
• Process patient and insurance refund requests in accordance with established procedures, ensuring compliance with payer guidelines and organizational policies

Required qualifications

• High school diploma or GED required; additional education in healthcare administration or medical billing preferred
• Minimum of 2 years of experience in medical billing, accounts receivable, or insurance refund processing
• Working knowledge of medical billing procedures and insurance reimbursement methodologies
• Experience with electronic health record (EHR) systems and medical practice management software
• Strong computer skills, including proficiency in Microsoft Excel and other Microsoft Office applications